Established and Co-Chair, with ISESALUD, the California-Baja California Environmental Health Task Force under the U.S.-Mexico Border 2012 Program.

Created the U.S.-Mexico Lead Initiative, in collaboration with the U.S.-Mexico Border Health Commission (USMBHC) and federal and state partners, to cooperate in reducing exposure to lead in candy, traditional pottery, and home remedies in the U.S. and Mexico.

Ongoing collaboration with the Secretariat of Health of Baja California and multiple federal, state, and local partners to enhance pesticide illness prevention, awareness, and reporting in Imperial County and Baja California. Developed bilingual (English and Spanish), web-based Pesticide Assessment Training.

Organized multiple presentations and seminars to educate public health students and professionals about border and binational health issues.

Coordinated several technical trainings and workshops for public health professionals to enhance their capacity to assess and respond to health issues in the border region